Individual
SHERESA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, LMHCA
Contact information
Practice address
2710 LAKE AVE, FORT WAYNE, IN 46805-5412
(260) 481-2700
(260) 969-8448
Mailing address
16311 PAGE RD, GRABILL, IN 46741-9612
(260) 452-6700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
88001982A
IN
363A00000X
Physician Assistant
Primary
10000892A
IN
363A00000X
Physician Assistant
5601005190
MI
Other
Enumeration date
10/25/2006
Last updated
01/13/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us